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Hormonal Imbalance Found to Contribute to Exercise-Associated Hyponatremia

Researchers at McLean Hospital, in Belmont, Mass., have found that exercise-associated hyponatremia in addition to being caused by the consumption of too much water or sports drink volume during a marathon, is also the result of a hormonal stress response, which decreases urine formation and prevents the excretion of excess water.

Posted Friday, July 25, 2008

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Cleaning House: Rebuild Your Agency from the Top Down

It may not be a pleasant task, but objectively analyzing your organization is essential to sustaining an environment in which your members are proud to volunteer.

Posted Friday, July 25, 2008

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The High-Tech Heart: LVAD emergencies in pre-transplant patients

Every year, roughly 4,000 people await heart transplants in the U.S., with only about half that amount available. These patients are able to remain active within the community due to such devices as LVADs.

Posted Friday, July 25, 2008

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Computer-Based Testing Going Great

The National Registry of EMTs (NREMT) began testing EMS personnel at all levels via computers on Jan. 2, and by June 1 it had tested nearly 35,000 candidates at more than 300 testing centers. The NREMT reports that pass rates remain consistent with those from the pencil-and-paper era.

Posted Friday, July 25, 2008

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The Malcontent Medic: How to control persistent pessimism

Say you just finished talking with a certain employee who wanted a pay increase or just wanted to complain about the old recliners in the break room. You_re thinking, "They never seem happy, no matter how I try to accommodate them."„

Posted Friday, July 25, 2008

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The Man with the Ladle: Understanding Digoxin & Its Toxic Effects

You_re called to a private residence where a 76-year-old man has been having difficulty eating and drinking, some nausea and vomiting, and what he calls ˙new, psychic experiencesÓ in the past few days. You ask your partner to perform a physical assessment while you speak to the patient_s wife.

Posted Friday, July 25, 2008

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Straight for the Jugular

On arrival, you find a 42-year-old male with a severe open neck wound. The patient is unconscious with agonal breathing. What do you do next?

Posted Friday, July 25, 2008

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Acres of QA

Edward T. Dickinson, MD, FACEP, NREMT-P, the medical editor of JEMS visited the„Queensland (Australia) Ambulance Service and reports on the challenges of monitoring a large„EMS system.

Posted Friday, July 25, 2008

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Army Goes Well Beyond CPR Training

Early this year, the U.S. Army initiated a Combat Lifesavers Certification course, a requirement for all recruits entering basic combat.

Posted Friday, July 25, 2008


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